Thread by @Mental_Elf

Wow, what a fantastic first day at #Quality2021 – we’re about to start our second keynote session now with @KedarMate

You can watch along with this session on @QualityForum livestream here – grab yourself a cuppa and settle in! #Quality2021

internationalforum.bmj.com/europe/live/

On the agenda today with @KedarMate - 2 stories, 5 ideas and 1 opportunity #Quality2021

Story 1 - @KedarMate talks about Deming's contributions to Toyota, which focussed on how quality can both save costs as well as providing top quality products #Quality2021

Story 2 - In this picture, you can see tobacco mills in Tobacco Row in the foregound which quickly disintegrated following tobacco laws. In the background is a hospital - @KedarMate asks whether hospitals might also soon become redundant? #Quality2021

@KedarMate notes that our health system has evolved to shift away from hospitals and is likely to accelerate. Technologies will get better and we will do more outside of hospitals #Quality2021

We need a healthcare system that addresses medical needs, health-related social needs as well as social determinants of health, says @KedarMate #Quality2021

Idea 1 - super-charging primary care. We need to level up our funding to primary care resources, says @KedarMate

Idea 2 - integrate across the real care continuum. True integration should extend into community care organisations that are trying to create health, rather than creating more healthcare, says @KedarMate #Quality2021

Health begins in the home, says @KedarMate - by the time we reach healthcare, we look like nails to the incessant hammer of healthcare. We need healthcare to meet our families, integrate into our comunities and build networks with those that feed our souls #Quality2021

Idea 3 - centre the person. We shouldn't be asking 'what's the matter with you?' but 'what truly matters to you?', says @KedarMate #Quality2021

Idea 4 - unlock digital health. Technology can allow for routine hospitalisation to take place at home - e.g. for common procedures such as x-rays, pneumonia. However, these innovations are currently held hostage to the unreliable systems needed to implement them #Quality2021

Digital health WILL change healthcare, in the same way that antibiotics once did, but we need to make sure this is safe and reliable, says @KedarMate #Quality2021

Idea 5 - no quality without equity. @KedarMate draws on theory of targeted universalism. He states that this theory will help create far more help, far faster and in a far more distributed way than anything else we've ever imagined #Quality2021

@KedarMate implores every one of us watching today to go back to our institution and ask this question: Is equity an explicit priority for my healthcare system? If not, it should be. #Quality2021

@KedarMate states that these ideas are not new, so what do we need to do to make something happen? Kedar argues that we need the WILL to reach beyond traditional healthcare systems and address wider social determinants of health #Quality2021

@KedarMate speaks now about the #BLM movement, which was amplified by the tragic death of George Floyd. From this, it has been possible to identify 4 active ingredients needed to harness will #Quality2021

"Slow is a choice" - we get to choose how and when we accelerate to get to the system we need and deserve. Covid-19 has proven this to us, says @KedarMate #Quality2021

@KedarMate asks which of you will be the next leader to commit to and inspire change? Which of you will design a better way forward to healthcare? Which of you will have the courage to announce that hospitals are a relic of the past? #Quality2021

@KedarMate asks our viewers to harness the will to change, and to ALWAYS work to create will in the future by demonstrating your courage. It is this courage that has animated @TheIHI for 30 years #Quality2021